Rimmer Joanne, Ferguson Louisa M, Saleh Hesham A
Department of Otorhinolaryngology, Charing Cross Hospital, Imperial College Healthcare National Health Service Trust, London, United Kingdom.
Arch Facial Plast Surg. 2012 Sep-Oct;14(5):323-30. doi: 10.1001/archfacial.2012.147.
Rhinoplasty and septal surgery often require the use of cartilage grafts. Autologous cartilage may be thin or deviated, and the use of an absorbable scaffold material to support the reimplanted cartilage during healing can improve technique and outcomes.
To describe the use of a polydioxanone plate not only as a template in extracorporeal septoplasty but also for various other grafts commonly used in rhinoplasty and for the repair of septal perforations.
A retrospective case note review was performed between November 1, 2007, and February 28, 2011, for all patients treated using a polydioxanone plate. Surgical outcomes are discussed.
A polydioxanone plate was used in septal and/or rhinoplasty surgery in 102 patients treated during a 40-month period. Follow-up was 9 to 18 months (mean, 12 months), with 96 patients reporting a good cosmetic or functional result. Up to 15% of patients experienced temporary septal swelling, but there were only 2 postoperative infections and no other significant complications.
The polydioxanone plate is a safe and reliable absorbable implant that has many different applications in rhinoplasty and septal surgery. It not only acts as a scaffold but also stimulates and guides cartilage regeneration.
隆鼻术和鼻中隔手术常常需要使用软骨移植物。自体软骨可能过薄或存在偏差，在愈合过程中使用可吸收支架材料来支撑重新植入的软骨可改善手术技术和效果。
描述聚二氧六环酮板不仅在体外鼻中隔成形术中作为模板的用途，还描述其在隆鼻术中常用的各种其他移植物以及鼻中隔穿孔修复中的用途。
对2007年11月1日至2011年2月28日期间所有使用聚二氧六环酮板治疗的患者进行回顾性病例记录审查。讨论手术结果。
在40个月期间治疗的102例患者中，聚二氧六环酮板用于鼻中隔和/或隆鼻手术。随访时间为9至18个月（平均12个月），96例患者报告美容或功能效果良好。高达15%的患者出现暂时性鼻中隔肿胀，但术后仅发生2例感染，无其他严重并发症。
聚二氧六环酮板是一种安全可靠的可吸收植入物，在隆鼻术和鼻中隔手术中有多种不同应用。它不仅起到支架作用，还能刺激和引导软骨再生。
